Imaging Findings of a Solitary Fibrous Tumor in Pancreas: A Case Report

Hwang, Jae Do; Kim, Jae Woon; Chang, Jae Chun

doi:10.3348/jksr.2014.70.1.53

Cited by 13 publications

(9 citation statements)

References 7 publications

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“…In our case, the patient presented with abdominal pain and jaundice. The patients' age ranges from 24-78 years at diagnosis [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15]. Although extrapleural SFT has no gender bias reported, the current pancreatic cases have female to male ratio of 12 : 3.…”

Section: Discussionmentioning

confidence: 99%

“…The differential diagnosis of pancreatic SFTs includes several spindle cell neoplasms such as GIST, leiomyosarcoma, schwannoma, and fibromyxoid sarcoma [10,11,14]. Immunohistochemically SFT expresses CD34 and vimentin in 80-90% of cases and CD99 and bcl-2 in 70% of cases.…”

Section: Discussionmentioning

confidence: 99%

“…Pancreas is an extremely rare abdominal localization of the solitary fibrous tumor (SFT) with only 16 cases reported to date [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16]. It usually grows asymptomatically for a long time before a diagnosis can be made on the basis of symptoms and/or mechanical complications.…”

Section: Introductionmentioning

confidence: 99%

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Solitary Fibrous Tumor of the Pancreas: A Case Report and Review of the Literature

Spasevska¹,

Janevska²,

Janevski

et al. 2016

Prilozi

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Pancreas is an extremely rare abdominal localization of the solitary fibrous tumor (SFT). It usually grows asymptomatically for a long time before a diagnosis can be made on the basis of symptoms and/or mechanical complications. Due to the rarity and nonspecific clinical presentation, this entity is diagnostically challenging. We present a 47-year-old man with a history of progressive epigastric pain for the last two weeks, and jaundice, who was admitted to hospital for further investigation. Cystadenocarcinoma was suspected based on the radiologic findings, and a pancreatoduodenectomy was performed. The removed portion of the pancreas contained a 3.5 × 2 × 1.8 cm well-circumscribed, but not encapsulated white tumor mass with smooth cut surface, cystic component and duct dilatation within the tumor and within the adjacent pancreatic tissue. Based on the histology and immunostaining profile, a diagnosis of the solitary fibrous tumor was made. One week post-operatively, the patient died due to surgical complications. Microscopic and immunohistochemical examinations are necessary for accurate diagnosis of cystic SFT of the pancreas. Because there is limited data regarding the biological behavior of SFT with extra-pleural localization the authors recommend clinical follow-up for SFT treatment if the criteria of malignancy are not met.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Solitary Fibrous Tumor of the Pancreas: A Case Report and Review of the Literature

Spasevska¹,

Janevska²,

Janevski

et al. 2016

Prilozi

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“…The immunohistochemical differential diagnosis of SFT of the pancreas should include spindle cell tumors such as Gastrointestinal stromal tumor (GIST), smooth muscle sarcoma, nerve sheath tumor, brous mucinous sarcoma, perivascular epithelioid cell tumor, and vascular tumors [3,16,20,37]. The immunomarkers of SFT of the pancreas include STAT6, CD34, bc1-2, vimentin, and CD99 [34].…”

Section: Discussionmentioning

confidence: 99%

Imaging, pathology, and diagnosis of solitary fibrous tumor of the pancreas: a literature review

Wang¹,

Zhou²,

et al. 2023

Preprint

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Background Solitary fibrous tumor (SFT) is often located in the pleura, while SFT of the pancreas is extremely rare. Here, we report a case of SFT of the pancreas and discuss imaging, histopathology, and immunohistochemistry for accurate diagnosis and treatment. Case presentation A 54-year-old man presented to our hospital with pancreatic occupancy for over a month. There were no previous complaints of discomfort. His blood pressure was normal. Blood glucose, tumor markers, and enhanced computed tomography (CT) suggested a malignant tumor. Because the CT appearance of pancreatic cancer varies, we could not confirm the diagnosis; therefore, we performed a puncture biopsy under ultrasound endoscopy. Pathology and immunohistochemistry were consistent with SFT of the pancreas. The postoperative pathology and immunohistochemistry were consistent with the puncture results. The patient presented for a follow-up examination one month after discharge with no adverse effects. Discussion Other diseases must be excluded in patients with a pancreatic mass that cannot be diagnosed. CT and pathological histology have diagnostic value for pancreatic tumors. Endoscopic puncture biopsy under ultrasound can help diagnose pancreatic masses that cannot be diagnosed preoperatively. Surgery is an effective treatment for SFT of the pancreas; however, long-term follow-up is strongly recommended because of the possibility of malignant transformation of the tumor.

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“…SFTs are a unique group of soft tissue tumors originating from fibroblastic or myofibroblastic tissue (1). Since its first description in 1931, SFTs have been reported to occur in various anatomical sites including thorax, head and neck, abdomino-pelvic cavity, and extremities (3,6,7). SFTs may rarely occur in the liver, with less than 30 cases reported to date in the literature (2).…”

Section: Discussionmentioning

confidence: 99%

CT and MRI Features of Solitary Fibrous Tumor of the Liver: A Case Report

나

신

허

et al. 2019

J Korean Soc Radiol

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Solitary fibrous tumors (SFTs) are a unique group of soft tissue tumors originating from fibroblastic or myofibroblastic tissue. SFTs rarely occur in the liver, with less than 30 cases reported in the literature. We report a case of SFT of the liver presenting unique imaging features on CT and MRI. A 52-year-old woman presented with an incidentally detected hepatic mass that showed homogeneous strong enhancement, starting from the arterial phase until the delayed phase images on CT. On the T2-weighted MR image, the mass was heterogeneously hyperintense with multifocal hypointense dots and bands within the mass. The mass was microscopically characterized by bland-looking, ovoid to spindle shaped cells with stromal and perivascular hyalinization. Immunohistochemical studies showed reactivity for CD34.

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Imaging Findings of a Solitary Fibrous Tumor in Pancreas: A Case Report

Cited by 13 publications

References 7 publications

Solitary Fibrous Tumor of the Pancreas: A Case Report and Review of the Literature

Solitary Fibrous Tumor of the Pancreas: A Case Report and Review of the Literature

Imaging, pathology, and diagnosis of solitary fibrous tumor of the pancreas: a literature review

CT and MRI Features of Solitary Fibrous Tumor of the Liver: A Case Report

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